SOMERSET COUNTY SURROGATE222S COURT AFFIDAVIT OF NEXT OF KIN CASE INFORMATION FORM Name of deceased Residence Date of death Date of birth Name of Affiant (party seeking Affidavit) Address of Affiant Telephone Relationship to deceased Next of Kin of deceased (Children, mother, father, brother and sisters, etc., If under 18 yrs. old, list age) Name Relationship Address Fax (908-) or Email (surrogatesoffice@co.somerset.nj.us) completed Case Information form, death certificate and a list of all assets belonging to the deceased (copy of car title, bank statement etc.) American LegalNet, Inc. www.FormsWorkFlow.com